How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier Global Typical Low $398.11 Median $4,365.16 Typical High $15,135.61 | Facility | Global | $398.11 | $4,365.16 | $15,135.61 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $42.66 Median $56.23 Typical High $323.59 | Facility | 52 · Reduced service | $42.66 | $56.23 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $22.39 Typical High $131.83 | Facility | 53 · Discontinued | $17.38 | $22.39 | $131.83 |
Aetna Setting Professional Modifier Global Typical Low $83.18 Median $181.97 Typical High $501.19 | Professional | Global | $83.18 | $181.97 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $54.95 Typical High $181.97 | Professional | 52 · Reduced service | $31.62 | $54.95 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $28.84 Typical High $87.10 | Professional | 53 · Discontinued | $15.49 | $28.84 | $87.10 |
Ambetter Setting Professional Modifier Global Typical Low $87.10 Median $107.15 Typical High $204.17 | Professional | Global | $87.10 | $107.15 | $204.17 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $95.50 Typical High $151.36 | Professional | 53 · Discontinued | $85.11 | $95.50 | $151.36 |
Anthem BCBS Setting Facility Modifier Global Typical Low $2,511.89 Median $4,365.16 Typical High $12,882.50 | Facility | Global | $2,511.89 | $4,365.16 | $12,882.50 |
Anthem BCBS Setting Professional Modifier Global Typical Low $97.72 Median $158.49 Typical High $288.40 | Professional | Global | $97.72 | $158.49 | $288.40 |
Blue Shield Setting Facility Modifier Global Typical Low $74.13 Median $933.25 Typical High $1,995.26 | Facility | Global | $74.13 | $933.25 | $1,995.26 |
Blue Shield Setting Professional Modifier Global Typical Low $95.50 Median $123.03 Typical High $275.42 | Professional | Global | $95.50 | $123.03 | $275.42 |
Cigna Setting Facility Modifier Global Typical Low $66.07 Median $66.07 Typical High $77.62 | Facility | Global | $66.07 | $66.07 | $77.62 |
Cigna Setting Professional Modifier Global Typical Low $77.62 Median $120.23 Typical High $257.04 | Professional | Global | $77.62 | $120.23 | $257.04 |
Contra Costa Health Setting Professional Modifier Global Typical Low $40.74 Median $58.88 Typical High $144.54 | Professional | Global | $40.74 | $58.88 | $144.54 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $54.95 Median $102.33 Typical High $177.83 | Professional | Global | $54.95 | $102.33 | $177.83 |
Lucent Health Setting Facility Modifier Global Typical Low $54.95 Median $56.23 Typical High $3,890.45 | Facility | Global | $54.95 | $56.23 | $3,890.45 |
Lucent Health Setting Facility Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Lucent Health Setting Facility Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Lucent Health Setting Professional Modifier Global Typical Low $724.44 Median $851.14 Typical High $851.14 | Professional | Global | $724.44 | $851.14 | $851.14 |
Molina Setting Professional Modifier Global Typical Low $87.10 Median $87.10 Typical High $144.54 | Professional | Global | $87.10 | $87.10 | $144.54 |
Providence Setting Facility Modifier Global Typical Low $66.07 Median $123.03 Typical High $190.55 | Facility | Global | $66.07 | $123.03 | $190.55 |
Providence Setting Professional Modifier Global Typical Low $77.62 Median $120.23 Typical High $245.47 | Professional | Global | $77.62 | $120.23 | $245.47 |
Sutter Health Plus Setting Professional Modifier Global Typical Low $208.93 Median $208.93 Typical High $323.59 | Professional | Global | $208.93 | $208.93 | $323.59 |
The Alliance Setting Professional Modifier Global Typical Low $40.74 Median $56.23 Typical High $104.71 | Professional | Global | $40.74 | $56.23 | $104.71 |
United Setting Facility Modifier Global Typical Low $489.78 Median $1,548.82 Typical High $6,456.54 | Facility | Global | $489.78 | $1,548.82 | $6,456.54 |
United Setting Professional Modifier Global Typical Low $66.07 Median $102.33 Typical High $234.42 | Professional | Global | $66.07 | $102.33 | $234.42 |
Where California sits
The same service costs 3.7 times more in Wisconsin than in Maine. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 3rd of 51
$224
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.